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Do you or your organization invest in hedge funds ?
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Accredited Investor

I hereby certify that I am a accredited investor in accordance with Rule 501(a) of Regulation D, in that (please check one):

A bank, insurance company, registered investment company, business development company, or small business investment company

An employee benefit plan, within the meaning of the Employee Retirement Income Security Act, if a bank, insurance company, or registered investment adviser makes the investment decisions, or if the plan has total assets in excess of $5 million

A charitable organization, corporation, or partnership with assets exceeding $5 million

A director, executive officer, or general partner of the company selling the securities

A business in which all the equity owners are accredited investors

A natural person who has individual net worth, or joint net worth with the person's spouse, that exceeds $1 million at the time of the purchase

A natural person with an individual income in excess of $200,000 or in excess of $300,000 with his or her spouse in each of the two most recent years and who has a reasonable expectation of an income in excess of $200,000 individually or in excess of $300,000 with his or her spouse in the current year

A trust with assets in excess of $5 million, not formed to acquire the securities offered, whose purchases a sophisticated person makes


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